title: Evaluation of early endoscopic realignment of post-traumatic complete posterior urethral rupture.
abstract: BACKGROUND
  to report our experience with 41 patients treated by early endoscopic realignment of complete post-traumatic rupture urethra.
  
  
  METHODS
  The study includes patients presented to our institute, between May 2004 and April 2009, with post-traumatic complete posterior urethral disruption. Preoperative retrograde urethrography, voiding cystourethrography and abdominopelvic CT were performed to evaluate the urethral defect length, the bladder neck competence, the prostate position, and the extent of the pelvic hematoma. Within the first week after trauma, antegrade and retrograde urethroscopy were performed to identify both urethral ends and insert urethral catheter. Patients were followed up by pericatheter retrograde urethrogram monthly postoperatively till catheter removal on disappearance of extravasation. Retrograde urethrography, voiding cystourethrography and urethroscopy were performed 1 month after the removal of the catheter. Follow-up abdominal ultrasound and uroflowmetry monthly till 6 months, bimonthly till 1 year, and every 3 months thereafter were encouraged. Urinary continence and postoperative erectile dysfunction were assessed by direct patient interview.
  
  
  RESULTS
  Forty one patients in the age group 17-61 years (mean 37.9) were treated. Patients were followed up for.
  
  
  CONCLUSIONS
  Early endoscopic realignment for complete posterior urethral rupture is a feasible technique with no or minimal intraoperative complications. The technique is successful as the definitive line of therapy in reasonable number of patients and seems to render further future interventions for inevitable urethral stricture easier.
authors.affiliation: Department of Urology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors.forename: Yaser M
authors.initials: YM
authors.lastname: Abdelsalam
authors.forename: Medhat A
authors.initials: MA
authors.lastname: Abdalla
authors.forename: Ahmad S
authors.initials: AS
authors.lastname: Safwat
authors.forename: Ehab O
authors.initials: EO
authors.lastname: Elganainy
keywords: Early; endoscopic realignment; post-traumatic; posterior urethra; urethral rupture